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EP0063423B1 - Gnrh antagonists - Google Patents

Gnrh antagonists Download PDF

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Publication number
EP0063423B1
EP0063423B1 EP82301612A EP82301612A EP0063423B1 EP 0063423 B1 EP0063423 B1 EP 0063423B1 EP 82301612 A EP82301612 A EP 82301612A EP 82301612 A EP82301612 A EP 82301612A EP 0063423 B1 EP0063423 B1 EP 0063423B1
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EP
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Prior art keywords
phe
nal
accordance
gly
peptide
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EP82301612A
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German (de)
French (fr)
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EP0063423A1 (en
Inventor
Jean Edouard Frederic Rivier
Wylie Walker Vale, Jr.
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Salk Institute for Biological Studies
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Salk Institute for Biological Studies
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K1/00General methods for the preparation of peptides, i.e. processes for the organic chemical preparation of peptides or proteins of any length
    • C07K1/04General methods for the preparation of peptides, i.e. processes for the organic chemical preparation of peptides or proteins of any length on carriers
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K7/00Peptides having 5 to 20 amino acids in a fully defined sequence; Derivatives thereof
    • C07K7/04Linear peptides containing only normal peptide links
    • C07K7/16Oxytocins; Vasopressins; Related peptides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K1/00General methods for the preparation of peptides, i.e. processes for the organic chemical preparation of peptides or proteins of any length
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K7/00Peptides having 5 to 20 amino acids in a fully defined sequence; Derivatives thereof
    • C07K7/04Linear peptides containing only normal peptide links
    • C07K7/23Luteinising hormone-releasing hormone [LHRH]; Related peptides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S930/00Peptide or protein sequence
    • Y10S930/01Peptide or protein sequence
    • Y10S930/13Luteinizing hormone-releasing hormone; related peptides

Definitions

  • the present invention relates to peptides which inhibit the release of gonadotropins by the pituitary gland in mammalians, including humans and to methods of preventing ovulation and/or inhibiting the release of steroids. More particularly, the present invention is directed to peptides which inhibit gonadal function and the release of the steroidal hormones, progesterone and testosterone. The invention also relates to non-toxic salts of the peptides according to the invention.
  • the pituitary gland is attached by a stalk to the region in the base of the brain known as the hypothalamus.
  • follicle stimulating hormone (FSH) and luteinizing hormone (LH) are released by the pituitary gland.
  • FSH follicle stimulating hormone
  • LH luteinizing hormone
  • gonadotropins gonadotropic hormones
  • GnRH The hypothalamic hormone which acts as a releasing factor for LH is referred to herein as GnRH although it has also been referred to as LH-RH and as LRF.
  • GnRH has been isolated and characterized as a decapeptide having the following structure:
  • Peptides are compounds which contain two or more amino acids in which the carboxyl group of one acid is linked to the amino group of the other acid.
  • the formula for GnRH, as represented above, is in accordance with conventional representation of peptides where the amino group appears to the left and the carboxyl group to the right. The position of the amino acid residue is identified by numbering the amino acid residues from left to right. In the case of GnRH, the hydroxyl portion of the carboxyl group of glycine has been replaced with an amino group (NH 2 ).
  • the abbreviations for the individual amino acid residues above are conventional and are based on the trivial name of the amino acid, e.g.
  • p-Glu is pyroglutamic acid
  • His is histidine
  • Trp is tryptophan
  • Ser is serine
  • Tyr is tyrosine
  • Gly is glycine
  • Leu is Leucine
  • Arg is arginine
  • Pro proline
  • Phe is phenylalanine
  • Ala is alanine.
  • amino acids together with valine, isoleucine, threonine, lysine, aspartic acid, asparagine, glutamine, cysteine, methionine, phenylalanine, and proline are generally considered to be the common, naturally occurring amino acids.
  • amino acids of the peptides of the invention are of the L-configuration unless noted otherwise.
  • GnRH is considered suitable for the treatment of those cases of infertility where a functional defect resides in the hypothalmus.
  • GnRH analogs that are antagonistic to the normal function of GnRH have been used to prevent ovulation.
  • analogs of GnRH which are antagonistic to GnRH are being investigated for their potential use as a contraceptive or for regulating conception periods. It is desired to provide peptides which are strongly antagonistic to endogenous GnRH and which prevent secretion of LH and the release of steroids by the gonads of mammals.
  • Decapeptides having this effect are disclosed in U.S. Patent 4253997 (Sarantakis). These decapeptides are characterized by D-p-Glu and D-NAL(1) 3 with D-NAL(1) as one of a variety of residues which may be present at the 6-position.
  • the peptide: disclosed in Example 2 of Sarantakis produces 93% (1/14) ovulation inhibition when administered to mature Sprague-Dawley rats of body weight 242 ⁇ 4.7 g at a dosage of 1000 ⁇ g. Results at smaller but nevertheless quite large dosage levels of 500 pg and 375 pg are, respectively, 70% (6/20) and 17% (5/6).
  • Peptides having LH-RH antagonism are also disclosed in U.K. Patent Application No. 2053229A. These peptides are LH-RH analogs differing from LH-RH in having D-Trp or D-Phe (there may optionally be substitution of D-Phe) at the 1- and 6-positions and substituted D-Phe at the 2-position.
  • the present invention provides peptides which inhibit the release of gonadotropins in mammalians, including humans, and also provides methods for inhibiting the release of steroids by the gonads of male and female mammalians.
  • the improved GnRH analogs are antagonistic to GnRH and have an inhibitory effect on the reproduction processes of mammalians. These analogs may be used to inhibit the production of gonadotropins and sex hormones under various circumstances including precocious puberty, hormone dependent neoplasia, dysmenorrhea and endometriosis.
  • peptides have been synthesized which strongly inhibit the secretion of gonadotropins by the pituitary gland of mammalians, including humans, and/or inhibit the release of steroids by the gonads.
  • These peptides are analogs of GnRH wherein there is a 1-position substitution in the form of dehydroproline, a 3- and/or 6-position substitution in the form of ⁇ -(naphthyl) D-alanine (hereinafter ⁇ -D-NAL) and preferably a substituent is also present in the 2-position.
  • the 1-position substituent may be modified so that its alpha amino group contains an acyl group, such as formyl, acetyl, acrylyl, vinylacetyl or benzoyl.
  • Dehydro L-Pro is preferred in the 1-position.
  • Modified D-Phe is preferably present in the 2-position and provides increased antagonistic activity as a result of the specific modifications present in the benzene ring.
  • Single substitutions for hydrogen are preferably made in the para- or 4-position, and double substitutions are made preferably in the 2,4- or the 3,4-positions.
  • substitutions are most preferably selected from chloro, dichloro, methyl, fluoro, difluoro, trifluoromethyl, methoxy, bromo, dibromo, nitro, dinitro, acetylamino and methyl mercapto.
  • ⁇ -D-NAL is preferred in the 3-position; however, D-Trp may be used.
  • p-D-NAL or imBzl D-His or D-Trp or some other lipophilic aromatic D-amino acid is preferred in the 6-position, although any D-isomer amino acid, particularly naturally occurring amino acids unsubstituted or substituted, e.g. D-Leu and D-Ser(O-t But), may be used.
  • the substitutions in the 7- and 10-positions are optional.
  • peptides are highly potent to inhibit release of LH, they are often referred to as GnRH antagonists.
  • the peptides inhibit ovulation of female mammals when administered at very low levels at proestrous and are also effective to cause resorption of fertilized eggs if administered shortly after conception. These peptides are also effective for the contraceptive treatment of male mammals.
  • the peptides of the present invention are represented by the following formula: wherein X is hydrogen or an acyl group having 7 or less carbon atoms; R 1 is dehydro Pro or dehydro D-Pro; R 2 is D-Phe, CI-D-Phe, dichloro-D-Phe, CF 3 -D-Phe, F-D-Phe, difluoro-D-Phe, AcNH-D-Phe, N0 2 -D-Phe, dinitro-D-Phe, Br-D-Phe, dibromo-D-Phe, CH 3 -S-D-Phe, OCH 3- D-Phe or CH 3 -D-Phe; R 3 is D-Trp or ⁇ -D-NAL; R 4 is a D-isomer aromatic amino acid or ⁇ -D-NAL; R 5 is Leu or N°Me-Leu; and R 6 is Gly-NH 2 or NHCH 2 CH 3 ; provided however that either R 3
  • dehydro Pro 3,4 dehydroproline, C 5 H 7 0 2 N, and when X is an acyl radical, it is attached to the nitrogen.
  • ⁇ -D-NAL is meant the D-isomer of alanine which is substituted by naphthyl on the ⁇ -carbon atom, which may also be designated 3- ⁇ -D-NAL.
  • ⁇ -D-2NAL is employed; however ⁇ -D-1 NAL may also be used.
  • the peptides of the present invention can be synthesized by classical solution synthesis or by a solid phase technique using a chloromethylated resin, a methylbenzhydrylamine resin (MBHA) or a benzhydryl- amine (BHA) resin.
  • the solid phase synthesis is conducted in a manner to stepwise add the amino acids in the chain in the manner set forth in detail in the U.S. Patent No. 4,211,693.
  • Side-chain protecting groups are preferably added to Ser, Tyr, Arg and His before these amino acids are coupled to the chain being built upon the resin. Such a method provides the fully protected intermediate peptidoresin.
  • X 1 is an a-amino protecting group of the type known to be useful in the art in the stepwise synthesis of polypeptides and when X in the desired peptide composition is a particular acyl group, that group may be used as the protecting group.
  • acyl-type protecting groups such as formyl (For), trifluoroacetyl, phthalyl, p-toluenesulfonyl (Tos), benzoyl (Bz), benzensulfonyl, o-nitrophenylsulfenyl (Nps), tritylsulfenyl, o-nitrophenoxyacetyl, acrylyl (Acr), chloroacetyl, acetyl (Ac) and a-chlorobutyryl; (2) aromatic urethan-type protecting groups, e.g., benzyloxycarbonyl (Z).
  • acyl-type protecting groups such as formyl (For), trifluoroacetyl, phthalyl, p-toluenesulfonyl (Tos), benzoyl (Bz), benzensulfonyl, o-nitrophenylsulfenyl (Nps),
  • benzyloxycarbonyl such as p-chloro-benzyloxycarbonyl, p-nitrobenzyloxycarbonyl, p-bromobenzyloxycarbonyl and p-methoxybenzyloxycarbonyl; (3) aliphatic urethan protecting groups, such as tertbutyloxycarbonyl (Boc), diisopropylmethoxycarbonyl, isopropyloxycarbonyl, ethoxycarbonyl and allyloxycarbonyl; (4) cycloalkyl urethan-type protecting groups, such as cyclopentyloxycarbonyl, adamantyloxycarbonyl and cyclohexyloxycarbonyl; (5) thiourethan-type protecting groups, such as phenylthiocarbonyl; (6) alkyl-type protecting groups, such as allyl (Aly), triphenylmethyl(trityl) and benzyl (Bzl); (7) trial
  • X 2 is a protecting group for the alcoholic hydroxyl group of Ser and is selected from the group consisting of acetyl, benzoyl, tetrahydropyranyl, tert-butyl, trityl, benzyl and 2,6-dichlorobenzyl. Benzyl is preferred.
  • X 3 is a protecting group for the phenolic hydroxyl group of Tyr selected from the group consisting of tetrahydropyranyl, tert-butyl, trityl, benzyl, benzyloxycarbonyl, 4-bromobenzyloxycarbonyl and 2,6-dichlorobenzyl. 2,6-dichlorobenzyl is preferred.
  • X 4 is a protecting group for the nitrogen atoms of Arg and is selected from the group consisting of nitro, Tos, benzyloxycarbonyl, adamantyloxycarbonyl, and Boc; alternatively X 4 may be hydrogen, which means there are no protecting groups on the side chain nitrogen atoms of arginine. Tos is preferred.
  • X 5 is selected from the group consisting of Gly-O-CH 2 -[resin support]; O-CH 2 -[resin support]; Gly-NH-[resin support]; and OH, ester, amide and hydrazide, of Gly or attached directly to Pro.
  • the criterion for selecting side chain protecting groups for X Z- X 4 is that the protecting group must be stable to the reagent under the reaction conditions selected for removing the a-amino protecting group at each step of the synthesis.
  • the protecting group must not be split off under coupling conditions, and the protecting group must be removable upon completion of the synthesis of the desired amino acid sequence under reaction conditions that will not alter the peptide chain.
  • the ester moiety of one of the many functional groups of the polystyrene resin support is being represented.
  • the X 5 group is Gly-NH-[resin support]
  • an amide bond connects Gly to BHA resin or to a MBHA resin.
  • X When X is acetyl, formyl, acrylyl, vinylacetyl, benzoyl or some other acyl group having 7 carbon atoms or less, it may be employed as the X 1 protecting group for the a-amino group of R 1 in which case it can be added before coupling of the last amino acid to the peptide chain.
  • a reaction may be carried out with the peptide on the resin, e.g. reacting with acetic acid in the presence of dicyclohexyl carbodiimide (DCC) or preferably with acetic anhydride.
  • DCC dicyclohexyl carbodiimide
  • the fully protected peptide can be cleaved from the chloromethylated resin support by ammonolysis, as is well known in the art, to yield the fully protected amide intermediate.
  • Deprotection of the peptide, as well as cleavage of the peptide from the benzhydryfamine resin, can take place at 0°C with hydrofluoric acid (HF).
  • Anisole is preferably added to the peptide prior to treatment with HF. After the removal of HF, under vacuum, the cleaved, deprotected peptide is conveniently treated with ether, decanted, taken-up in dilute acetic acid and lyophilized.
  • Purification of the peptide is effected by ion exchange chromotography on a CMC column, followed by partition chromotography using the elution system: n-butanol; 0.1 N acetic acid (1:1 volume ratio) on a column packed with Sephadex G-25, or by using HPLC, as known in the art.
  • the pepetides of the invention are effective at levels of less than 200 micrograms per kilogram of body weight, when administered at about noon on the day of proestrous, to prevent ovulation in female rats. For prolonged suppression of ovulation, it may be necessary to use dosage levels in the range of from about 0.1 to about 5 milligrams per kilogram of body weight.
  • These antagonists are also effective as contraceptives when administered to male mammals on a regular basis. Since these compounds will reduce testosterone levels (an undesired consequence in the normal, sexually active male), it may be reasonable to administer replacement dosages of testosterone along with the GnRH antogonist. These antagonists can also be used to regulate the production of gonadotropines and sex steroids for other purposes as indicated hereinbefore.
  • a BHA resin is used, and Boc-protected Gly is coupled to the resin over a 2-hour period in CH 2 CI 2 using a 3-fold excess of Boc derivative and DCC as an activating reagent.
  • the glycine residue attaches to the BHA residue by an amide bond.
  • step 13 an aliquot is taken for a ninhydrin test: if the test is negative, go back to step 1 for coupling of the next amino acid; if the test is positive or slightly positive, go back and repeat steps 9 through 13.
  • Na BocB-D-NAL is prepared by a method known in the art, e.g. as described in detail in U.S. Patent No. 4,234,571, issued November 18,1980.
  • the side chain of Arg is protected with Tos.
  • OBzl is used as a side chain protecting group for the hydroxyl group of Ser, and 2-6 dichlorobenzyl is used as the side chain protecting group for the hydroxyl group of Tyr.
  • N-acetyl-dehydro Pro is introduced as the final amino acid.
  • Boc-Arg(Tos) and Boc-D-Trp which have low solubility in CH 2 CI 2 , are coupled using DMF CH 2 CI 2 mixtures.
  • the peptide is judged to be homogeneous using thin layer chromatography and several different solvent systems, as well as by using reversed-phase high pressure liquid chromatography and an aqueous triethylammonium phosphate solution plus acetonitrile.
  • Amino acid analysis of the resultant, purified peptide is consistent with the formula for the prepared structure, showing substantially integer-values for each amino acid in the chain.
  • the pepetide assayed in vitro and in vivo.
  • the in vitro test is made using dissociated rat pituitary cells maintained in culture for 4 days prior to the assay.
  • the levels of LH mediated in response to the application of peptides is assayed by specific radioimmunoassay for rat LH.
  • Control dishes of cells only receive a measure which is 3 nanomplar in GnRH: experimental dishes receive a measure 3 nanomolar in GnRH plus a measure having a concentration of test peptide ranging from 0.01 to 3 nanomolar.
  • the amount of LH secreted in the samples treated only with GnRH is compared with that secreted by the samples treated with the peptide plus GnRH.
  • Results are calculated to determine the molar concentration ratio of test peptide to GnRH (antagonist/GnRH) required to reduce the amount of LH released by 3 nanomolar GnRH to 50 percent of the control value (ICR 50 ) which is found to be 0.005.
  • the peptide described hereinabove is also used to determine effectiveness to prevent ovulation in female rats.
  • a specified number of mature female Sprague-Dawley rats each having a body weight from 225 to 250 grams, is injected with 5 micrograms of peptide in corn oil at about noon on the day of proestrous. Proestrous is the afternoon before estrous (ovulation).
  • a separate female rat group is used as a control to which the peptide is not administered.
  • Each of the control rat females has ovulation at estrous; of the rats treated, none of them ovulated.
  • the peptide is considered to be significantly effective to prevent ovulation of female rats at a very low dosage, and the peptide is considered to be totally effective at a dose of one milligram.
  • Peptide No. 12 is similarly synthesized and purified. After amino acid analysis is completed, in vitro testing in similar fashion shows the peptide to have an ICR 50 of 0.008. /n vivo testing at a dosage of 2.5 pg. shows that 0 out of 10 rats ovulate. Peptide No. 8 is similarly tested in vivo at a dosage of 5 ⁇ g., and only 2 out of 10 rats ovulate. Testing of Peptide No. 2 shows that zero out of 10 rats ovulate at a dosage of 5 pg. and only 3 out of 10 rats ovulate at a dosage of 2.5 ⁇ g.
  • the remaining peptides are similarly tested and are considered to be likewise effective to prevent ovulation of female rats at a very low dosage.
  • the peptides of the invention are often administered in the form of pharmaceutically acceptable, nontoxic salts, such as acid addition salts, or of metal complexes, e.g., with zinc, barium, calcium, magnesium, aluminum or the like (which are considered as addition salts for purposes of this application), or of combinations of the two.
  • acid addition salts are hydrochloride, hydrobromide, sulphate, phosphate, nitrate, oxalate, fumarate, gluconate, tannate, maleate, acetate, citrate, benzoate, succinate, alginate, pamoate, malate, ascorbate, tartrate and the like.
  • the tablet may contain a pharmaceutically-acceptable diluent which includes a binder, such as tragacanth, corn starch or gelatin; a disintegrating agent, such as alginic acid; and a lubricant, such as magnesium stearate.
  • a pharmaceutically-acceptable diluent which includes a binder, such as tragacanth, corn starch or gelatin; a disintegrating agent, such as alginic acid; and a lubricant, such as magnesium stearate.
  • sweetening and/or flavoring may be used as part of the pharmaceutically-acceptable diluent, and intravenous administration in isotonic saline, phosphate buffer solutions or the like may be effected.
  • the peptides of the invention should be administered under the guidance of a physician, and pharmaceutical compositions will usually contain the peptide in conjunction with a conventional, pharmaceutically-acceptable carrier. Usually, the dosage will be from about 0.1 to about 100 micrograms of the peptide per kilogram of the body weight of the host. Overall, treatment of subjects with these peptides is generally carried out in the same manner as the clinical treatment using other antagonists of GnRH.
  • peptides can be administered to mammals intravenously, subcutaneously, intramuscularly, orally, intranasally or intravaginally to achieve fertility inhibition and/or control. Effective dosages will vary with the form of administration and the particular species of mammal being treated.
  • An example of one typical dosage form is a physiological saline solution containing the peptide which solution is administered to provide a dose in the range of about 0.1 to 5 mg/kg of body weight.
  • Oral administration of the peptide may be given in either solid form or liquid form.

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Abstract

Peptides which inhibit the secretion of gonadotropins by the pituitary gland and inhibit the release of steroids by the gonads. Administration of an effective amount prevents ovulation of female mammalian eggs and/or the release of steroids by the gonads. The peptides have the structure. X-R1-R2-R3-Ser-Tyr-R4-R5-Arg-Pro-R6 wherein X is hydrogen or an acyl group having 7 or less carbon atoms; R1 is dehydro Pro or dehydro D-Pro; R2 is D-Phe, Cl-D-Phe, dichloro-D-Phe, CF3-D-Phe, F-D-Phe, difluoro-D-Phe, AcNH-D-Phe, NO2-D-Phe, dinitro-D-Phe, Br-D-Phe, dibromo-D-Phe, CH3-S-D-Phe, OCH3-D-Phe or CH3-D-Phe; R3 is D-Trp or B-D-NAL; R4 is a D-isomer amino acid and preferably B-D-NAL; R5 is Leu or N< alpha >Me-Leu; and R6 is Gly-NH2 or NHCH2CH3; provided however that either R3 or R4 is B-D-NAL.

Description

  • The present invention relates to peptides which inhibit the release of gonadotropins by the pituitary gland in mammalians, including humans and to methods of preventing ovulation and/or inhibiting the release of steroids. More particularly, the present invention is directed to peptides which inhibit gonadal function and the release of the steroidal hormones, progesterone and testosterone. The invention also relates to non-toxic salts of the peptides according to the invention.
  • The pituitary gland is attached by a stalk to the region in the base of the brain known as the hypothalamus. In particular, follicle stimulating hormone (FSH) and luteinizing hormone (LH), sometimes referred to as gonadotropins or gonadotropic hormones, are released by the pituitary gland. These hormones, in combination, regulate the functioning of the gonads to produce testosterone in the testes and progesterone and estrogen in the ovaries, and also regulate the production and maturation of gametes.
  • The release of a hormone by the anterior lobe of the pituitary gland usually requires a prior release of another class of hormones produced by the hypothalamus. One of the hypothalamic hormones acts as a factor that triggers the release of the gonadotropic hormones, particularly LH. The hypothalamic hormone which acts as a releasing factor for LH is referred to herein as GnRH although it has also been referred to as LH-RH and as LRF. GnRH has been isolated and characterized as a decapeptide having the following structure:
    Figure imgb0001
  • Peptides are compounds which contain two or more amino acids in which the carboxyl group of one acid is linked to the amino group of the other acid. The formula for GnRH, as represented above, is in accordance with conventional representation of peptides where the amino group appears to the left and the carboxyl group to the right. The position of the amino acid residue is identified by numbering the amino acid residues from left to right. In the case of GnRH, the hydroxyl portion of the carboxyl group of glycine has been replaced with an amino group (NH2). The abbreviations for the individual amino acid residues above are conventional and are based on the trivial name of the amino acid, e.g. p-Glu is pyroglutamic acid, His is histidine, Trp is tryptophan, Ser is serine, Tyr is tyrosine, Gly is glycine, Leu is Leucine, Arg is arginine, Pro is proline, Phe is phenylalanine and Ala is alanine. These amino acids together with valine, isoleucine, threonine, lysine, aspartic acid, asparagine, glutamine, cysteine, methionine, phenylalanine, and proline are generally considered to be the common, naturally occurring amino acids. Except for glycine, amino acids of the peptides of the invention are of the L-configuration unless noted otherwise.
  • It is well known that the substitution of D-amino acids for Gly in the 6-position of the GnRH decapeptide provides a peptide material having from about 1 to 35 times greater potency than does GnRH to effect the release of LH and other gonadotropins by the pituitary gland of mammalians. It is taught by K.U. Prasad et al. J. Med Chem., Vol. 19, 492 (1976) that greater potency is also achieved by the substitution in the 3-position of 3-(1-naphthyl) Ala. The releasing effect is obtained when the GnRH analog is administered to a mammalian intravenously, subcutaneously, intramuscularly, orally, intranasally or intravaginally.
  • It is also known that substitution of various amino acids for His (or the deletion of His) at the 2-position of the GnRH decapeptide produces analogs having an inhibitory effect on the release of LH and other gonadotropins by the pituitary gland of mammalians.
  • Some female mammalians who have no ovulatory cycle and who show no pituitary or ovarian defect begin to secrete normal amounts of the gonadotropins LH and FSH after the appropriate administration of GnRH. Thus, the administration of GnRH is considered suitable for the treatment of those cases of infertility where a functional defect resides in the hypothalmus.
  • There are also reasons for desiring to prevent ovulation in female mammalians, and the administration of GnRH analogs that are antagonistic to the normal function of GnRH have been used to prevent ovulation. For this reason, analogs of GnRH which are antagonistic to GnRH are being investigated for their potential use as a contraceptive or for regulating conception periods. It is desired to provide peptides which are strongly antagonistic to endogenous GnRH and which prevent secretion of LH and the release of steroids by the gonads of mammals.
  • Decapeptides having this effect are disclosed in U.S. Patent 4253997 (Sarantakis). These decapeptides are characterized by D-p-Glu and D-NAL(1)3 with D-NAL(1) as one of a variety of residues which may be present at the 6-position. In illustration of the activity of these peptides in ovulation inhibition, the peptide:
    Figure imgb0002
    disclosed in Example 2 of Sarantakis produces 93% (1/14) ovulation inhibition when administered to mature Sprague-Dawley rats of body weight 242±4.7 g at a dosage of 1000 µg. Results at smaller but nevertheless quite large dosage levels of 500 pg and 375 pg are, respectively, 70% (6/20) and 17% (5/6).
  • Peptides having LH-RH antagonism are also disclosed in U.K. Patent Application No. 2053229A. These peptides are LH-RH analogs differing from LH-RH in having D-Trp or D-Phe (there may optionally be substitution of D-Phe) at the 1- and 6-positions and substituted D-Phe at the 2-position.
  • The present invention provides peptides which inhibit the release of gonadotropins in mammalians, including humans, and also provides methods for inhibiting the release of steroids by the gonads of male and female mammalians. The improved GnRH analogs are antagonistic to GnRH and have an inhibitory effect on the reproduction processes of mammalians. These analogs may be used to inhibit the production of gonadotropins and sex hormones under various circumstances including precocious puberty, hormone dependent neoplasia, dysmenorrhea and endometriosis.
  • Generally, in accordance with the present invention, peptides have been synthesized which strongly inhibit the secretion of gonadotropins by the pituitary gland of mammalians, including humans, and/or inhibit the release of steroids by the gonads. These peptides are analogs of GnRH wherein there is a 1-position substitution in the form of dehydroproline, a 3- and/or 6-position substitution in the form of β-(naphthyl) D-alanine (hereinafter β-D-NAL) and preferably a substituent is also present in the 2-position. The 1-position substituent may be modified so that its alpha amino group contains an acyl group, such as formyl, acetyl, acrylyl, vinylacetyl or benzoyl. Dehydro L-Pro is preferred in the 1-position. Modified D-Phe is preferably present in the 2-position and provides increased antagonistic activity as a result of the specific modifications present in the benzene ring. Single substitutions for hydrogen are preferably made in the para- or 4-position, and double substitutions are made preferably in the 2,4- or the 3,4-positions. The substitutions are most preferably selected from chloro, dichloro, methyl, fluoro, difluoro, trifluoromethyl, methoxy, bromo, dibromo, nitro, dinitro, acetylamino and methyl mercapto. β-D-NAL is preferred in the 3-position; however, D-Trp may be used. p-D-NAL or imBzl D-His or D-Trp or some other lipophilic aromatic D-amino acid is preferred in the 6-position, although any D-isomer amino acid, particularly naturally occurring amino acids unsubstituted or substituted, e.g. D-Leu and D-Ser(O-t But), may be used. The substitutions in the 7- and 10-positions are optional.
  • Because these peptides are highly potent to inhibit release of LH, they are often referred to as GnRH antagonists. The peptides inhibit ovulation of female mammals when administered at very low levels at proestrous and are also effective to cause resorption of fertilized eggs if administered shortly after conception. These peptides are also effective for the contraceptive treatment of male mammals.
  • More specifically, the peptides of the present invention are represented by the following formula:
    Figure imgb0003
    wherein X is hydrogen or an acyl group having 7 or less carbon atoms; R1 is dehydro Pro or dehydro D-Pro; R2 is D-Phe, CI-D-Phe, dichloro-D-Phe, CF3-D-Phe, F-D-Phe, difluoro-D-Phe, AcNH-D-Phe, N02-D-Phe, dinitro-D-Phe, Br-D-Phe, dibromo-D-Phe, CH3-S-D-Phe, OCH3-D-Phe or CH3-D-Phe; R3 is D-Trp or β-D-NAL; R4 is a D-isomer aromatic amino acid or β-D-NAL; R5 is Leu or N°Me-Leu; and R6 is Gly-NH2 or NHCH2CH3; provided however that either R3 or R4 is β-D-NAL.
  • By dehydro Pro is meant 3,4 dehydroproline, C5H702N, and when X is an acyl radical, it is attached to the nitrogen. By β-D-NAL is meant the D-isomer of alanine which is substituted by naphthyl on the β-carbon atom, which may also be designated 3-β-D-NAL. Preferably β-D-2NAL is employed; however β-D-1 NAL may also be used.
  • The peptides of the present invention can be synthesized by classical solution synthesis or by a solid phase technique using a chloromethylated resin, a methylbenzhydrylamine resin (MBHA) or a benzhydryl- amine (BHA) resin. The solid phase synthesis is conducted in a manner to stepwise add the amino acids in the chain in the manner set forth in detail in the U.S. Patent No. 4,211,693. Side-chain protecting groups, as are well known in the art, are preferably added to Ser, Tyr, Arg and His before these amino acids are coupled to the chain being built upon the resin. Such a method provides the fully protected intermediate peptidoresin.
  • The intermediates of the invention may be represented as:
    Figure imgb0004
    wherein: X1 is an a-amino protecting group of the type known to be useful in the art in the stepwise synthesis of polypeptides and when X in the desired peptide composition is a particular acyl group, that group may be used as the protecting group. Among the classes of a-amino protecting groups covered by X1 are (1) acyl-type protecting groups, such as formyl (For), trifluoroacetyl, phthalyl, p-toluenesulfonyl (Tos), benzoyl (Bz), benzensulfonyl, o-nitrophenylsulfenyl (Nps), tritylsulfenyl, o-nitrophenoxyacetyl, acrylyl (Acr), chloroacetyl, acetyl (Ac) and a-chlorobutyryl; (2) aromatic urethan-type protecting groups, e.g., benzyloxycarbonyl (Z). and substituted benzyloxycarbonyl, such as p-chloro-benzyloxycarbonyl, p-nitrobenzyloxycarbonyl, p-bromobenzyloxycarbonyl and p-methoxybenzyloxycarbonyl; (3) aliphatic urethan protecting groups, such as tertbutyloxycarbonyl (Boc), diisopropylmethoxycarbonyl, isopropyloxycarbonyl, ethoxycarbonyl and allyloxycarbonyl; (4) cycloalkyl urethan-type protecting groups, such as cyclopentyloxycarbonyl, adamantyloxycarbonyl and cyclohexyloxycarbonyl; (5) thiourethan-type protecting groups, such as phenylthiocarbonyl; (6) alkyl-type protecting groups, such as allyl (Aly), triphenylmethyl(trityl) and benzyl (Bzl); (7) trialkylsilane groups, such as trimethylsilane. The preferred a-amino protecting group is Boc when X is hydrogen.
  • X2 is a protecting group for the alcoholic hydroxyl group of Ser and is selected from the group consisting of acetyl, benzoyl, tetrahydropyranyl, tert-butyl, trityl, benzyl and 2,6-dichlorobenzyl. Benzyl is preferred.
  • X3 is a protecting group for the phenolic hydroxyl group of Tyr selected from the group consisting of tetrahydropyranyl, tert-butyl, trityl, benzyl, benzyloxycarbonyl, 4-bromobenzyloxycarbonyl and 2,6-dichlorobenzyl. 2,6-dichlorobenzyl is preferred.
  • X4 is a protecting group for the nitrogen atoms of Arg and is selected from the group consisting of nitro, Tos, benzyloxycarbonyl, adamantyloxycarbonyl, and Boc; alternatively X4 may be hydrogen, which means there are no protecting groups on the side chain nitrogen atoms of arginine. Tos is preferred.
  • X5 is selected from the group consisting of Gly-O-CH2-[resin support]; O-CH2-[resin support]; Gly-NH-[resin support]; and OH, ester, amide and hydrazide, of Gly or attached directly to Pro.
  • The criterion for selecting side chain protecting groups for XZ-X4 is that the protecting group must be stable to the reagent under the reaction conditions selected for removing the a-amino protecting group at each step of the synthesis. The protecting group must not be split off under coupling conditions, and the protecting group must be removable upon completion of the synthesis of the desired amino acid sequence under reaction conditions that will not alter the peptide chain.
  • When the X5 group is Gly-O-CH2-[resin support] or O-CH2-[resin support], the ester moiety of one of the many functional groups of the polystyrene resin support is being represented. When the X5 group is Gly-NH-[resin support], an amide bond connects Gly to BHA resin or to a MBHA resin.
  • When X is acetyl, formyl, acrylyl, vinylacetyl, benzoyl or some other acyl group having 7 carbon atoms or less, it may be employed as the X1 protecting group for the a-amino group of R1 in which case it can be added before coupling of the last amino acid to the peptide chain. Alternatively, a reaction may be carried out with the peptide on the resin, e.g. reacting with acetic acid in the presence of dicyclohexyl carbodiimide (DCC) or preferably with acetic anhydride.
  • The fully protected peptide can be cleaved from the chloromethylated resin support by ammonolysis, as is well known in the art, to yield the fully protected amide intermediate. Deprotection of the peptide, as well as cleavage of the peptide from the benzhydryfamine resin, can take place at 0°C with hydrofluoric acid (HF). Anisole is preferably added to the peptide prior to treatment with HF. After the removal of HF, under vacuum, the cleaved, deprotected peptide is conveniently treated with ether, decanted, taken-up in dilute acetic acid and lyophilized.
  • Purification of the peptide is effected by ion exchange chromotography on a CMC column, followed by partition chromotography using the elution system: n-butanol; 0.1 N acetic acid (1:1 volume ratio) on a column packed with Sephadex G-25, or by using HPLC, as known in the art.
  • The pepetides of the invention are effective at levels of less than 200 micrograms per kilogram of body weight, when administered at about noon on the day of proestrous, to prevent ovulation in female rats. For prolonged suppression of ovulation, it may be necessary to use dosage levels in the range of from about 0.1 to about 5 milligrams per kilogram of body weight. These antagonists are also effective as contraceptives when administered to male mammals on a regular basis. Since these compounds will reduce testosterone levels (an undesired consequence in the normal, sexually active male), it may be reasonable to administer replacement dosages of testosterone along with the GnRH antogonist. These antagonists can also be used to regulate the production of gonadotropines and sex steroids for other purposes as indicated hereinbefore.
  • The following Example is intended further to illustrate the invention by way of example only.
  • Example
  • The following peptides having the formula X-dehydro Pro-R2-R3-Ser-Tyr-R4-Leu-Arg-Pro-Gly-NH2 are prepared by the solid phase procedure referred to above.
    Figure imgb0005
  • For purposes of an example, a representative solid phase synthesis of Peptide No. 1 above, which is referred to as
    Figure imgb0006
    is set forth hereinafter. This peptide has the following formula:
    Figure imgb0007
  • A BHA resin is used, and Boc-protected Gly is coupled to the resin over a 2-hour period in CH2CI2 using a 3-fold excess of Boc derivative and DCC as an activating reagent. The glycine residue attaches to the BHA residue by an amide bond.
  • Following the coupling of each amino acid residue, washing, deblocking and coupling of the next amino acid residue is carried out in accordance with the following schedule using an automated machine and beginning with about 5 grams of resin:
    Figure imgb0008
  • After step 13, an aliquot is taken for a ninhydrin test: if the test is negative, go back to step 1 for coupling of the next amino acid; if the test is positive or slightly positive, go back and repeat steps 9 through 13.
  • The above schedule is used for coupling of each of the amino acids of the peptide of the invention after the first amino acid has been attached. Na Boc protection is used for each of the remaining amino acids throughout the synthesis. Na BocB-D-NAL is prepared by a method known in the art, e.g. as described in detail in U.S. Patent No. 4,234,571, issued November 18,1980. The side chain of Arg is protected with Tos. OBzl is used as a side chain protecting group for the hydroxyl group of Ser, and 2-6 dichlorobenzyl is used as the side chain protecting group for the hydroxyl group of Tyr. N-acetyl-dehydro Pro is introduced as the final amino acid. Boc-Arg(Tos) and Boc-D-Trp, which have low solubility in CH2CI2, are coupled using DMF CH2CI2 mixtures.
  • The cleavage of the peptide from the resin and complete deprotection of the side chains takes place very readily at 0°C. with HF. Anisole is added as a scavenger prior to HF treatment. After the removal of HF under vacuum, the resin is extracted with 50% acetic acid, and the washings are lyophilized to provide a crude peptide powder.
  • Purification of the peptide is then effected by ion exchange chromatography on CMC (Whatman CM 32, using a gradient of 0.05 to 0.3M NH40Ac in 50/50 methanol/water) followed by partition chromatography in a gel filtration column using the elution system: n-Butanol; 0.1 N Acetic acid (1:1-volume ratio).
  • The peptide is judged to be homogeneous using thin layer chromatography and several different solvent systems, as well as by using reversed-phase high pressure liquid chromatography and an aqueous triethylammonium phosphate solution plus acetonitrile. Amino acid analysis of the resultant, purified peptide is consistent with the formula for the prepared structure, showing substantially integer-values for each amino acid in the chain. The optical rotation is measured on a photoelectric polarimeter as [a]D 22=-16.1°±1 (c=1, 50% acetic acid).
  • The pepetide assayed in vitro and in vivo. The in vitro test is made using dissociated rat pituitary cells maintained in culture for 4 days prior to the assay. The levels of LH mediated in response to the application of peptides is assayed by specific radioimmunoassay for rat LH. Control dishes of cells only receive a measure which is 3 nanomplar in GnRH: experimental dishes receive a measure 3 nanomolar in GnRH plus a measure having a concentration of test peptide ranging from 0.01 to 3 nanomolar. The amount of LH secreted in the samples treated only with GnRH is compared with that secreted by the samples treated with the peptide plus GnRH. Results are calculated to determine the molar concentration ratio of test peptide to GnRH (antagonist/GnRH) required to reduce the amount of LH released by 3 nanomolar GnRH to 50 percent of the control value (ICR50) which is found to be 0.005.
  • The peptide described hereinabove is also used to determine effectiveness to prevent ovulation in female rats. In this test, a specified number of mature female Sprague-Dawley rats, each having a body weight from 225 to 250 grams, is injected with 5 micrograms of peptide in corn oil at about noon on the day of proestrous. Proestrous is the afternoon before estrous (ovulation). A separate female rat group is used as a control to which the peptide is not administered. Each of the control rat females has ovulation at estrous; of the rats treated, none of them ovulated. As a result, the peptide is considered to be significantly effective to prevent ovulation of female rats at a very low dosage, and the peptide is considered to be totally effective at a dose of one milligram.
  • Peptide No. 2 is similarly synthesized and purified. After amino acid analysis is completed, the optical rotation is measured on a photoelectric polarimeter as [α]D22=69.3°±1 (C=1, 50% acetic acid). In vitro testing in similar fashion shows the peptide to have an ICR50 of 0.011. /n vivo testing at a dosage of 5 pg. shows that 0 out of 10 rats ovulate, and at a dosage of 2.5 pg. only 2 out of 10 rats ovulate.
  • Peptide No. 12 is similarly synthesized and purified. After amino acid analysis is completed, in vitro testing in similar fashion shows the peptide to have an ICR50 of 0.008. /n vivo testing at a dosage of 2.5 pg. shows that 0 out of 10 rats ovulate. Peptide No. 8 is similarly tested in vivo at a dosage of 5 µg., and only 2 out of 10 rats ovulate. Testing of Peptide No. 2 shows that zero out of 10 rats ovulate at a dosage of 5 pg. and only 3 out of 10 rats ovulate at a dosage of 2.5 µg.
  • The remaining peptides are similarly tested and are considered to be likewise effective to prevent ovulation of female rats at a very low dosage.
  • The peptides of the invention are often administered in the form of pharmaceutically acceptable, nontoxic salts, such as acid addition salts, or of metal complexes, e.g., with zinc, barium, calcium, magnesium, aluminum or the like (which are considered as addition salts for purposes of this application), or of combinations of the two. Illustrative of such acid addition salts are hydrochloride, hydrobromide, sulphate, phosphate, nitrate, oxalate, fumarate, gluconate, tannate, maleate, acetate, citrate, benzoate, succinate, alginate, pamoate, malate, ascorbate, tartrate and the like. If the active ingredient is to be administered in tablet form, the tablet may contain a pharmaceutically-acceptable diluent which includes a binder, such as tragacanth, corn starch or gelatin; a disintegrating agent, such as alginic acid; and a lubricant, such as magnesium stearate. If administration in liquid form is desired, sweetening and/or flavoring may be used as part of the pharmaceutically-acceptable diluent, and intravenous administration in isotonic saline, phosphate buffer solutions or the like may be effected.
  • The peptides of the invention should be administered under the guidance of a physician, and pharmaceutical compositions will usually contain the peptide in conjunction with a conventional, pharmaceutically-acceptable carrier. Usually, the dosage will be from about 0.1 to about 100 micrograms of the peptide per kilogram of the body weight of the host. Overall, treatment of subjects with these peptides is generally carried out in the same manner as the clinical treatment using other antagonists of GnRH.
  • These peptides can be administered to mammals intravenously, subcutaneously, intramuscularly, orally, intranasally or intravaginally to achieve fertility inhibition and/or control. Effective dosages will vary with the form of administration and the particular species of mammal being treated. An example of one typical dosage form is a physiological saline solution containing the peptide which solution is administered to provide a dose in the range of about 0.1 to 5 mg/kg of body weight. Oral administration of the peptide may be given in either solid form or liquid form.
  • Although the invention has been described with regard to its preferred embodiments, it should be understood that changes and modifications as would be obvious to one having the ordinary skill in this art may be made without departing from the scope of the invention which is set forth in the claims which are appended hereto. For example, other substitutions known in the art which do not significantly detract from the effectiveness of the peptides may be employed in the peptides of the invention.

Claims (14)

1. A method for the manufacture of a compound having the formula:
Figure imgb0012
wherein X is hydrogen or an acyl group having 7 or less carbon atoms; R1 is dehydro Pro or dehydro D-Pro; R2 is D-Phe, CI-D-Phe, dichloro-D-Phe, CF3-D-Phe, F-D-Phe, difluoro-D-Phe, AcNH-D-Phe, N02-D-Phe, dinitro-D-Phe, Br-D-Phe, dibromo-D-Phe, CH3-S-D-Phe, OCH3-D-Phe or CH3-D-Phe; R3 is D-Trp or β-D-NAL; R4 is β-D-NAL or another D-isomer amino acid; R5 is Leu or N°Me-Leu; and R6 is Gly-NH2 or NHCH2CH3; provided however that either R3 or R4 is β-D-NAL; which method comprises (a) forming an intermediate compound having the formula:
Figure imgb0013
wherein X1 is an a-amino protecting group; X2 is a protecting group for the alcoholic hydroxyl group of Ser; X3 is a protecting group for the phenolic hydroxyl group of Tyr; X4 is a protecting group for the nitrogen atoms of Arg; and X5 is selected from Gly-O-CH2 (resin support), O-CH2-(resin support), Gly-NH-(resin support), Gly-NH2 and NHCH2CH3; (b) splitting off one or more of the groups X1 to X4 and/or cleaving from any resin support included in X5 and, if desired, converting a resulting peptide into a nontoxic salt thereof.
2. A method in accordance with Claim 1 wherein R2 is 4-CI-D-Phe, dichloro-D-Phe, 4-CF3-D-Phe, 4-F-D-Phe, difluoro-D-Phe, 4-AcNH-D-phe, 4-NO2-D-Phe, dinitro-D-Phe, 4-Br-D-Phe, dibromo-D-Phe, 4-CH3S-D-Phe, 4-OCH3-D-Phe or 4-CH3-D-Phe.
3. A method in accordance with Claim 2 wherein R1 is dehydro-Pro.
4. A method in accordance with either Claim 2 or 3 wherein R3 is β-D-NAL.
5. A method in accordance with Claim 4 wherein R3 is β-D-2NAL.
6. A method in accordance with either Claim 2 or 3 wherein R4 is β-D-NAL.
7. A method in accordance with Claim 6 wherein R4 is β-D-2NAL.
8. A method in accordance with Claim 4 wherein R4 is β-D-NAL.
9. A method in accordance with Claim 5 wherein R4 is β-D-2NAL.
10. A method in accordance with Claim 3 wherein X5 is Gly-NH-(resin support).
EP82301612A 1981-04-21 1982-03-26 Gnrh antagonists Expired EP0063423B1 (en)

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US4547370A (en) * 1983-11-29 1985-10-15 The Salk Institute For Biological Studies GnRH Antagonists
IL74827A (en) * 1984-05-21 1989-06-30 Salk Inst For Biological Studi Peptides active as gnrh antagonists and pharmaceutical compositions containing them
DE3634435A1 (en) * 1986-10-09 1988-04-14 Hoechst Ag ANALOGA OF GONADOLIBERIN WITH IMPROVED SOLUBILITY, METHOD FOR THE PRODUCTION THEREOF, THE CONTAINERS THEREOF AND THEIR USE
WO1988007056A1 (en) * 1987-03-10 1988-09-22 Eastern Virginia Medical Authority METHOD AND KIT FOR CONTRACEPTION WITH GnRH-ANTAGONIST AND PROGESTIN
US5068221A (en) * 1989-05-09 1991-11-26 Mathias John R Treatment of motility disorders with a gnrh analog
US5434136A (en) * 1990-12-14 1995-07-18 Mathias; John R. Treatment of motility disorders with a GNRH analog
US5502035A (en) * 1993-08-06 1996-03-26 Tap Holdings Inc. N-terminus modified analogs of LHRH
US5843901A (en) * 1995-06-07 1998-12-01 Advanced Research & Technology Institute LHRH antagonist peptides
ES2814343T3 (en) 2006-10-24 2021-03-26 Allergan Pharmaceuticals Int Ltd Compositions and methods for suppressing endometrial proliferations
WO2018177746A1 (en) 2017-03-31 2018-10-04 Institut National De La Sante Et De La Recherche Medicale (Inserm) A gnrh antagonist for use in the treatment of a women affected with polycystic ovary syndrome

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